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FEC Form 1 for PepsiCo, Inc. Concerned Citizens FundForm 1 for PepsiCo, Inc. Concerned Citizens Fund

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-792659


1. PepsiCo, Inc. Concerned Citizens Fund

    700 Anderson Hill Road
    Purchase, NY 10577
    Email: julie.mcclain@pepsico.com

    NOTE: Email address is different than previously reported

2. Date: 06/25/2012

3. FEC Committee ID #: C00039321 This committee is a separate segregated fund. Its connected organization is a Corporation
     In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

Pepsico, Inc.
700 Anderson Hill Road
Purchase, New York 10577
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Mary Elizabeth FitzRoy
700 Anderson Hill Road
Purchase, NY 105771401
Title: Custodian of Records
Phone # (914) 253-2921

Treasurer:

Philip Swink
700 Anderson Hill Road
Purchase, New York 105771401
Title: Treasurer
Phone # (914) 253-2613

Designated Agent(s):

Elizabeth H. Avery
325 7th St NW
Washington, DC 200042818
Title: Assistant Treasurer
Phone # (202) 567-2932

Banks or Depositories

Merrill Lynch Government Fund
PO Box 8118
Boston, Massachusetts 02266

Citibank, NA
220 Westchester Avenue
White Plains, New York 10604

Signed: Philip Swink
Date Signed: 06/29/2012

(End FEC FORM 1)


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